Theoretical principles of nursing activities in palliative care
DOI:
https://doi.org/10.11603/2411-1597.2026.2.16476Keywords:
palliative care, nurses, basic medical sciencesAbstract
Introduction. Nurses constitute the largest professional group among health workers in the world and play a key role in the provision of basic and specialized medical care. Given the rapid aging of the population and the relentless progression of chronic diseases, palliative care is gaining importance as a component of the nursing process. The professional activities of nurses in the field of palliative and hospice care require not only empathy and communicative competence, but also in-depth knowledge of human anatomy and physiology, which form the basis of effective and scientifically sound patient care.
The aim of the study – to summarize and systematize modern scientific data on the importance of theoretical training and the application of knowledge of human anatomy and physiology in nursing practice when providing palliative care to patients in the terminal stage of the disease.
The main part. Modern domestic and foreign publications devoted to the role of fundamental medical sciences in nursing practice, the features of nursing activities in the field of palliative care, as well as the main measures of palliative care are analyzed. The medical component of palliative care involves alleviating or eliminating symptoms, optimizing the patient’s quality of life through complex therapy, effective pain relief, and preventing complications. The main task of the professional activity of a modern nurse in the field of palliative and hospice care is comprehensive care for patients with chronic incurable diseases, alleviating their suffering. Research results confirm that knowledge of the basics of human anatomy and physiology is an important factor in the quality of clinical decisions, the safety of patient care and professional communication.
Conclusions. Theoretical knowledge of human anatomy and physiology directly affects the quality of nursing decisions, the effectiveness of care for terminally ill patients, and the application of practical skills during medical interventions. Thorough knowledge of the structure and functions of organs and systems allows for appropriate and safe care, contributes to the timely detection of complications and reduction of symptoms, which generally serves to maintain the dignity of the patient at the end of life.
References
Rosa, W.E., Parekh de Campos, A., Abedini, N.C. et al. (2022). Optimizing the Global Nursing Workforce to Ensure Universal Palliative Care Access and Alleviate Serious Health-Related Suffering Worldwide. J Pain Symptom Manage, 63 (2), e224-e236. DOI 10.1016/j.jpainsymman.2021.07.014. DOI: https://doi.org/10.1016/j.jpainsymman.2021.07.014
Tark, A., Estrada, L.V., Stone, P.W. et al. (2023). Systematic review of conceptual and theoretical frameworks used in palliative care and end-of-life care research studies. Palliat Med., 37 (1), 10-25. DOI 10.1177/02692163221122268. DOI: https://doi.org/10.1177/02692163221122268
Alshahrani, S.H., Alshahrani, T.H., Paulsamy, P., & Ederango, E.L. (2022). Patient centered care and centerdness perspective. Universal Journal of Public Health, 10 (4), 339-345. DOI 10.13189/ujph.2022.100407. DOI: https://doi.org/10.13189/ujph.2022.100407
Bahadoran, H., Dadfar, R., Hosein, M. et al. (2022). The Role of Anatomy in Medical Education. ASJ, 19 (2), 51-58. URL: http://anatomyjournal.ir/article-1-593-en.html.
Coster, S., Watkins, M., & Norman, I.J. (2018). What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence. Int J Nurs Stud., 78, 76-83. DOI 10.1016/j.ijnurstu.2017.10.009. DOI: https://doi.org/10.1016/j.ijnurstu.2017.10.009
Nowell, L., Davidson, S., Gospodinov, J. et al. (2023). Evaluating fundamental care knowledge to inform educational leadership. J Adv Nurs., 79 (3), 1174-1188. DOI 10.1111/jan.15279. DOI: https://doi.org/10.1111/jan.15279
World Health Organization (2020). State of the World’s Nursing 2020: Investing in education, jobs and leadership. Geneva: WHO, 116 p. https://www.who.int.
Vaismoradi, M., & Logan, P.A. (2025). Contributions of Specialized Nurses to Medication Management for Older People in Home Care: A Mixed-Method Systematic Review. Risk Manag Healthc Policy, 13 (18), 445-470. DOI 10.2147/RMHP.S508170. DOI: https://doi.org/10.2147/RMHP.S508170
Beauchemin, M., Cohn, E., & Shelton, R.C. (2019). Implementation of Clinical Practice Guidelines in the Health Care Setting: A Concept Analysis. ANS Adv Nurs Sci., 42 (4), 307-324. DOI 10.1097/ANS.0000000000000263. DOI: https://doi.org/10.1097/ANS.0000000000000263
Kitson, A.L. (2018). The Fundamentals of Care Framework as a Point-of-Care Nursing Theory. Nurs Res., 67 (2), 99-107. DOI 10.1097/NNR.0000000000000271. DOI: https://doi.org/10.1097/NNR.0000000000000271
Kim, H.J., & Huh, J.S. (2024). End-of-life Care, Comfort Care, and Hospice: Terms and Concepts. J Hosp Palliat Care, 27 (4), 162-166. DOI 10.14475/jhpc.2024.27.4.162. DOI: https://doi.org/10.14475/jhpc.2024.27.4.162
Zhara, A.S., & Skorbach, T.V. (2025). Medychni ta psykhosotsialni aspekty paliatyvnoi dopomohy [Medical and psychosocial aspects of palliative care]. Suchasni kontseptsii vykladannia pryrodnychykh dystsyplin u medychnykh osvitnikh zakladakh: materialy XVI Mizhnarodnoi naukovo-metodychnoi internet-konferentsii. Kharkiv: KhNMU, 32-33 [in Ukrainian].
Marchuk, I.V. (2023). Psykholohichnyi portret «idealnoi» medsestry z paliatyvnoi dopomohy z pozytsii subiektyvnoho spryiniattia patsiientiv i fakhivtsiv (chastyna 1) [Psychological portrait of the “ideal” palliative care nurse from the perspective of the subjective perception of patients and professionals (part 1)]. Medsestrynstvo, 2, 70-78 [in Ukrainian].
Voronenko, Yu.V., Hubskyi, Yu.I., Kniazevych, V.M., Moiseienko, R.O., Hoida, N.H., Tsarenko, A.V., … Yashchenko, V.I. (2017). Paliatyvna ta khospisna dopomoha [Palliative and hospice care]. Vinnytsia: Nova knyha [in Ukrainian].
Bergman, E.M., Verheijen, I.W., Scherpbier, A.J. et al. (2014). Influences on anatomical knowledge: The complete arguments. Clin Anat., 27 (3), 296-303. DOI 10.1002/ca.22341. DOI: https://doi.org/10.1002/ca.22341
Johnston, A.N. (2016). Anatomy knowledge in nursing practice. Nurse Education Today, 38.
Ratero, L.R., André, J.C., dos Santos, E.R. et al. (2020). Human anatomy and clinical nursing practice. Journal of Nursing Education and Practice, 10 (10), 13-22. DOI 10.5430/jnep.v10n10p13. DOI: https://doi.org/10.5430/jnep.v10n10p13
Horiuchi-Hirose, M., Fukuoka, T., Saeki, Y. (2023). Integration of anatomy and physiology into nursing practice as perceived by undergraduate students and registered nurses: a scoping review. BMC Nurs., 22 (1), 270. DOI 10.1186/s12912-023-01436-0. DOI: https://doi.org/10.1186/s12912-023-01436-0
Moran, S., Bailey, M.E., & Doody, O. (2024). Role and contribution of the nurse in caring for patients with palliative care needs: A scoping review. PLoS One, 19 (8), e0307188. DOI 10.1371/journal.pone.0307188. DOI: https://doi.org/10.1371/journal.pone.0307188
Ijaopo, E.O., Zaw, K.M., Ijaopo, R.O., & Khawand-Azoulai, M.A. (2023). Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness. Gerontol Geriatr Med., 9, 23337214231183243. DOI 10.1177/23337214231183243. DOI: https://doi.org/10.1177/23337214231183243
Stretanski, M.F., Stinocher, S., & Grandhe, S. (2025). Pain Assessment. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 32310558. URL: https://pubmed.ncbi.nlm.nih.gov.
Zaidi, S.R.H., & Sharma, S. (2024). Pressure Ulcer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 31971747. URL: https://www.ncbi.nlm.nih.gov.
Ernstmeyer, K., & Christman, E. (2021). Oxygen Therapy. In: Nursing Skills [Internet]. Eau Claire (WI): Chippewa Valley Technical College, Chapter 11. Available from: NCBI Bookshelf. URL: https://www.ncbi.nlm.nih.gov.
Vudayagiri, L., Hoilat, G.J., & Gemma, R. (2025). Percutaneous Endoscopic Gastrostomy Tube. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 30570992. URL: https://pubmed.ncbi.nlm.nih.gov.
Burch, J., Sica, J., Swash, C., & Williams, I. (2023). «Stoma Management.» Stoma Care Specialist Nursing: A Guide for Clinical Practice, edited by David Galloway, Springer, 163-193. DOI 10.1007/978-3-031-07799-9_7. DOI: https://doi.org/10.1007/978-3-031-07799-9_10
Gaik, C., Paal, P., Reuter, D.A. et al. (2025). Current practices in hemodynamic monitoring and management during non-cardiac surgery in Austria. BMC Anesthesiol., 25 (1), 450. DOI 10.1186/s12871-025-03374-7. DOI: https://doi.org/10.1186/s12871-025-03374-7
Gould, L.J., Alderden, J., Aslam, R. et al. (2024). WHS guidelines for the treatment of pressure ulcers-2023 update. Wound Repair Regen., 32 (1), 6-33. DOI 10.1111/wrr.13130. DOI: https://doi.org/10.1111/wrr.13130
Open Resources for Nursing (Open RN) (2024). Health Alterations [Internet]. Ernstmeyer K, Christman E, editors. Eau Claire (WI): Chippewa Valley Technical College. PMID: 40198012.
Saleh, A.M. (2023). Nurses’ assessment and management practices of pain among intensive care patients in King Khalid Hospital, Kharj, Riyadh. Heliyon, 9 (9), e19986. DOI 10.1016/j.heliyon.2023.e19986. DOI: https://doi.org/10.1016/j.heliyon.2023.e19986
Korylchuk, N., Pelykh, V., Nemyrovych Y. et al. (2024). Challenges and Benefits of a Multidisciplinary Approach to Treatment in Clinical Medicine, Journal of Pioneering Medical Sciences, 13 (3), 1-9. DOI 10.61091/jpms202413301. DOI: https://doi.org/10.61091/jpms202413301
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